If the injection feels different, stings more than usual, or produces unusual redness at the site, the solution composition may have changed
Individuals commencing Ozempic should understand: The importance of adequate calcium and vitamin D intake through diet and supplementation if indicated The value of regular physical activity in line with UK guidance (at least 150 minutes of moderate intensity activity weekly, plus strength exercises on 2 days per week) The need to report any bone pain, fractures, or significant height loss That gradual, sustained weight loss is preferable to rapid reduction The overall safety profile of the medication and no evidence of direct bone toxicity The importance of reporting suspected side effects via the MHRA Yellow Card Scheme Lifestyle interventions should be emphasised as integral to treatment success
Compounded medications from Affinity Whole Health are prepared in FDA-registered compounding facilities and are not FDA-approved drugs
Supplementary Table 2
Some patients may require licensed levothyroxine oral solution formulations post-operatively if absorption issues arise
Consider goals like improving blood sugar control (target HbA1c), losing a specific amount of weight, reducing or eliminating other medications, improving specific health conditions, and increasing energy and quality of life
